http://www.amp.cmp.org.pe/index.php/AMP/issue/feed ACTA MEDICA PERUANA 2024-03-21T02:07:28-05:00 Acta Medica Peruana actamedicaperuana@cmp.org.pe Open Journal Systems Acta Médica Peruana es la revista científica oficial del Colegio Médico del Perú; tiene como finalidad difundir el conocimiento médico a la comunidad médica y científica a nivel nacional e internacional. http://www.amp.cmp.org.pe/index.php/AMP/article/view/2782 Health equity in Peru in light of its social determinants (DSS): past, present and future 2024-03-20T19:10:12-05:00 Eugenio Villar Montesinos eugeniovillarm@gmail.com 2024-01-09T12:28:29-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2716 Sociodemographic and sociocultural factors that influence blood donation in Perú: results of a national survey, 2022 2024-03-20T19:10:10-05:00 Juan Antonio Almeyda Alcántara karentorreslopez6@gmail.com Teófilo José Fuentes Rivera Salcedo karentorreslopez6@gmail.com Jacklyn Karen Torres Lopez jtorresl@minsa.gob.pe Joselyn Pamela Riveros Salazar karentorreslopez6@gmail.com Liliana Estefania Nicho Machado karentorreslopez6@gmail.com Luis Pampa Espinoza karentorreslopez6@gmail.com Alex Celada Padilla karentorreslopez6@gmail.com José Carlos Bustamante Guevara karentorreslopez6@gmail.com Segundo Jackier Gendrau Acho karentorreslopez6@gmail.com Rosemary Fernández Fuentes karentorreslopez6@gmail.com Mirian Paola Ramírez Aylas karentorreslopez6@gmail.com Jenifer Huarcaya Damiano karentorreslopez6@gmail.com Liz Esther Quispicondor Arteaga karentorreslopez6@gmail.com Irvin Adrian Barbeyto Toribio karentorreslopez6@gmail.com Katherine Maydana Aguilar karentorreslopez6@gmail.com Paola Vílchez Enríquez karentorreslopez6@gmail.com María del Carmen Gladys Cerón Castañeda karentorreslopez6@gmail.com <p><strong>Background:</strong> Sociodemographic and sociocultural factors influence blood donation in various countries, our objective of study was to determine what are the factors that influence blood donation in Peru. <strong>The study:</strong> An observational, crosssectional study was conducted in people between 18 and 60 years at the national level, the data were analyzed using SPSS v.20 <strong>Findings:</strong> The study sample was 739 people, 50.4% men; It was determined that there is good knowledge about blood donation with a percentage greater than 50% of questions answered correctly, likewise there is a positive attitude towards blood donation <strong>Conclusions:</strong> The sociocultural factors that influence blood donation is ignorance, 40% of the participants do not know the basic requirements to be a blood donor, another factor is the false belief. because they are taking medication, they cannot donate blood (47%).</p> 2024-03-03T00:24:50-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2692 Clinical comparison in the remote management of bronchial asthma during the COVID-19 pandemic between two controller therapies: Fluticasone and beclomethasone 2024-03-20T19:10:11-05:00 Arturo Felipe Recabarren Lozada arturorecabarren@gmail.com Marcos Gustavo Llanos Rosas mllanosr@unsa.edu.pe Gustavo Joel Llave Pinto gllave@unsa.edu.pe <p><strong>Objective:</strong> To compare the level of asthma control using the Asthma Control Test (ACT) and clinical manifestations in two groups of patients treated with different inhaled corticosteroids (ICG).</p> <p><strong>Materials and methods: </strong>Descriptive, observational and prospective study in which the level of asthma control was recorded in 521 children in the asthma programme of Hospital III Yanahuara (Arequipa, Peru), during the period from June 2020 to December 2021, by means of remote consultation using the ACT and the collection of clinical findings (daytime and night-time symptoms, emergency visits and the use of beta-2 agonist bronchodilators), at two points in time during the COVID-19 pandemic.</p> <p><strong>Results:</strong> &nbsp;Both groups had optimal control at baseline and at the end of the study, with a significant improvement in the last control (P &lt; 0.05). In clinical manifestations there was no statistical difference (P &gt; 0.05) in both controls. The mean ACT level of Fluticasone at discharge was significantly superior to Beclomethasone (P = 0.03).</p> <p><strong>Conclusions:</strong> Teleconsultation is an effective tool for monitoring chronic diseases such as asthma. Both Fluticasone and Beclomethasone achieved optimal disease control, highlighting that the true determinant of good control is the continuous use of any ICG. However, a significant statistical difference was found in favour of Fluticasone; nevertheless, due to its lower price, the cost-effectiveness ratio favours Beclomethasone as a cost-effective and efficient option for optimal asthma control.</p> 2024-02-13T10:43:32-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2722 Quality of care and user satisfaction in an Emergency Service of a Social Security Hospital 2024-03-20T19:10:11-05:00 Miguel Angel Arce Huamani maarcehuamani@gmail.com Ricardo Alberto Aliaga-Gastelumendi maarcehuamani@gmail.com <p><strong>Introduction: </strong>The quality of care and user satisfaction in an emergency service has become a priority concern for patients. Especially since the health system does not supply enough to public establishments to provide quality care and obtain user satisfaction.</p> <p><strong>Objective: </strong>Establish the relationship between the quality of care and user satisfaction in an Emergency Service of a Social Security Hospital.</p> <p><strong>Methodology: </strong>A cross-sectional analytical study was carried out with a sample of 400 patients in a Social Security Emergency Service in the southern region of Peru; The SERVPERF questionnaire and the one elaborated by Feletti G, Firman D and Sansón-Fisher R were used as instruments to measure the variables. The data was presented using tables and graphs.</p> <p><strong>Results: </strong>The dimensions of the quality of care such as reliability, responsiveness, security, empathy, and tangible aspects, it was found that 49.25%, 67%, 72.25%, 54.25% and 55.75% agreed with the care provided, respectively. In the user satisfaction variable, 50.25% of users agreed. On the other hand, the relationship between the variables using Spearman's Rho was 0.8590 with a p&lt;0.05, it is statistically significant.</p> <p><strong>Conclusions: </strong>It was found that there is a moderate and statistically significant positive relationship between the quality of care and user satisfaction.</p> <p><strong>Keywords: </strong>Quality of Health Care, Patient Satisfaction, Emergency Service, Hospital (Source: MeSH NLM).</p> 2024-03-01T23:15:02-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2696 Construction and validation of an instrument for the evaluation of family crises 2024-03-20T19:10:11-05:00 Gloria Díaz Vega glodive80@gmail.com Luz Dalid Terrazas Rodríguez glodive80@gmail.com <p><strong>Introduction:</strong> Today, there has been evidence of an increase in family crises, which is why it is important to design a new documentary instrument for the evaluation of family crises.&nbsp;<strong>Objective: </strong>To build and validate an instrument for the evaluation of family crises.&nbsp;<strong>Materials and methods:</strong> In the qualitative evaluation, the content validity was estimated through the selection of 10 experts, who through an observation guide evaluated the sufficiency, relevance and clarity of the written items. The experts made observations that were taken into account, leading to a second round. Subsequently, the pilot test was applied to 260 beneficiaries over 18 years of age, both sexes, where the participants made suggestions about the instrument, for which a second pilot test was carried out. In the quantitative evaluation, internal and external validity was estimated through construct validity, reliability, stability and criterion validity. Finally, an instrument of 9 domains (marriage, expansion, dispersion, independence, withdrawal, dismemberment, increase, demoralization and disorganization) with 52 items was constructed. <strong>Results:</strong> An instrument was validated to evaluate normative and paranormative crises with discriminatory capacity, yielding different variances and a positive Pearson correlation. Reliability was 0.965 through Cronbach's alpha coefficient and Cohen's Kappa index 0.843 for reproducibility. The linear regression model confirmed its efficacy in predicting normative and paranormative crises. <strong>Conclusions:</strong> An instrument was built and validated, which will allow the evaluation of normative and paranormative crises.</p> <p>&nbsp;</p> 2024-02-13T01:36:13-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2658 Randomized Controlled Clinical Trial of Two Surgical Techniques for Primary Pterygium in Jungle Patients: Cauterization versus Suturing. 2024-03-20T19:10:12-05:00 Gioconda Armas Herrera gioco.armas@gmail.com Luis Felipe Arévalo Arévalo gioco.armas@gmail.com <p><strong>Objective:</strong> To compare two surgical techniques for excising pterygium, by evaluating postoperative symptoms and the incidence of recurrence. <strong>Methods:</strong> Randomized controlled clinical trial with two parallel groups and a single-blind design involving eighty patients with primary pterygium from the Ophthalmological Clinic of the Jungle. The first group considered the autograft fixation technique with bipolar cautery (n=40), and the second group considered the conventional autograft fixation technique with sutures (n=40). Symptoms were assessed at 72 hours postoperatively, and recurrence was evaluated at six months. <strong>Results:</strong> At 72 hours post-surgery, 6% of patients operated with the electrocautery technique exhibited symptoms, compared to 41% of those operated with sutures (p &lt; 0.05). Recurrence was observed in 1 case in the electrocautery group and 4 in the suture group (2.5% vs. 10%, p &lt; 0.05). <strong>Conclusions:</strong> The cautery technique demonstrated a more favorable recovery, with fewer symptoms and recurrence compared to the conventional technique. These findings suggest that the cautery technique may be more effective and better tolerated in patients in this study.</p> 2024-02-08T00:02:08-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2662 Candida parapsilosis endocarditis without vegetations at Echocardiography: a case report 2024-03-20T19:10:10-05:00 Natalia Vargas-Herrera nataliavh84@gmail.com Jose M. Estrada-Grossmann nataliavh84@gmail.com Marcos Saavedra-Velasco nataliavh84@gmail.com Gian Marco Arango-Rojas nataliavh84@gmail.com John Cabrera-Enríquez nataliavh84@gmail.com <p>Candida endocarditis is a very serious manifestation of candida infections, and it has increased in incidence over the past years. Of these, C. parapsilosis has been described as a cause of endocarditis in native valves of intravenous drug users and prosthetic valves. We report the case of a female that developed a cerebrovascular accident secondary to emboli from aortic prosthetic valve C. parapsilosis endocarditis, despite apparently normal echocardiography. She received antifungal therapy without surgical intervention.</p> 2024-03-05T23:57:33-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2724 Unusual case of diffuse B lymphoma of large cells (NOS) primary cerebral associated with hydrocephaly and neurosurgical management 2024-03-20T19:10:11-05:00 Héctor Mijail Lizarraga Valderrama mijail89@hotmail.com Fernando Fernández Chafloque mijail89@hotmail.com Luis Antonio Michilot Ramos mijail89@hotmail.com <p>Primary brain lymphoma is a type of aggressive non-Hodgkin lymphoma that originates in the central nervous system and is diagnosed when there is no evidence of lymphoma anywhere else in the body. Although systemic lymphomas are better known and studied, primary brain lymphoma has been less understood due to its low frequency until a few decades ago. The treatment of this disease continues to be debated. On this occasion, the unusual case of large B cell lymphoma NOS associated with hydrocephalus and its management is reported.</p> 2024-03-03T00:20:02-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2679 Neurosurgical management of epidural abscess after traumatic brain injury: a case report 2024-03-20T19:10:11-05:00 Héctor Mijail Lizarraga Valderrama mijail89@hotmail.com Fernando Fernández Chafloque mijail89@hotmail.com Luis Michilot Ramos mijail89@hotmail.com <p>Cranioencephalic trauma is an event caused by force on the container that holds the brain content, which causes inertia to cause acceleration and deceleration injuries, producing hemorrhages and/or fractures; These can generate a series of complications such as epidural abscess which, being very close to the brain, constitutes an emergency for its management and follow-up15. On this occasion we show the case of a patient with epidural abscess caused by cranioencephalic trauma and neurosurgical management.</p> 2024-03-02T23:56:50-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2774 War wounds in nineteenth century Peru: the eye injury of Andrés Avelino Cáceres 2024-03-20T19:10:11-05:00 Rocio Ardito rocio_ardito@yahoo.es Raquel Castro rocio_ardito@yahoo.es 2024-02-26T23:28:55-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2725 Health survey of young doctors using the EQ-5D-3L 2024-03-20T19:10:11-05:00 Cecilia Sogi Uematsu csogiu@unmsm.edu.pe Manuel Izaguirre csogiu@unmsm.edu.pe Aurora Villar csogiu@unmsm.edu.pe 2024-02-09T23:58:30-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2749 Findings in Acoustic Analysis and High Speed Laryngoscopy (HSL) in workers from a national hospital in Lima, Perú – 2019. 2024-03-20T19:10:12-05:00 Alexandra Ximena Banda Baltodano ximena.banda.b@gmail.com Víctor Hugo Gonzales Diaz ximena.banda.b@gmai.com Luis Guillermo Huasasquiche Morón ximena.banda.b@gmai.com Mario Yvan Salerno Cordero ximena.banda.b@gmai.com José Luis de Vinatea Velarde ximena.banda.b@gmai.com Roberto Shimooka Shiguemoto ximena.banda.b@gmai.com Norka Mariella Aurelia Vasquez Zeballos ximena.banda.b@gmai.com 2023-12-18T00:00:00-05:00 Copyright (c) 2023 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2794 Recursos financieros públicos para la política de protección a las personas con diabetes mellitus en el Perú 2024-03-20T19:10:10-05:00 Miguel Armando Zuñiga Olivares mzunigao@usp.br 2024-03-15T12:03:25-05:00 Copyright (c) 2024 ACTA MEDICA PERUANA http://www.amp.cmp.org.pe/index.php/AMP/article/view/2941 List of peer reviewers 2023 2024-03-21T02:07:28-05:00 Arturo Villena Pacheco arturo.villena@upch.pe 2024-03-20T00:00:00-05:00 Copyright (c) 2023 ACTA MEDICA PERUANA